Order Form

Name:
Email Address:
Phone No:
Address:
Item no & Quantity
Delivery Method	Pos Laju (RM6 -East, RM9 West) Pos Express (RM5 up to 2 pieces) COD (UIA Gombak only)
Payment Method	Maybank Bank Islam Bank Muamalat COD (UIA Gombak)
if item not available, i want to cancel:	yes no
if no,my alternative item:
Message & comment & suggestion:
Term and Condition:	I've Read,Understood and Agree the terms & conditions stated.

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